Healthcare Provider Details
I. General information
NPI: 1710860416
Provider Name (Legal Business Name): OPTIMIZED HEALTH AND PERFORMANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
245 WEST ROOSEVELT ROAD, UNIT 126, BUILDING 15
WEST CHICAGO IL
60185
US
IV. Provider business mailing address
7N678 FIELDING CT
ST CHARLES IL
60175-6852
US
V. Phone/Fax
- Phone: 630-340-9809
- Fax:
- Phone: 630-340-9809
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ANTHONY
ALMARAZ
Title or Position: OWNER/DOCTOR
Credential: DC
Phone: 630-340-9809